Intent to Apply to Become a District Charter School: LBD-E

Instructions: All district charter school applicants must file this intent to apply form with the district at least 30 days before submitting an application to the Board of Education. The intent to apply form may be returned to the Superintendent’s Office, 88 N. 40th Avenue, Building A, Brighton, CO 80601. The form should also be the first document included in the district charter school application.

____________________________________________________________________________

Date _________________

 

Please respond to the following; attach separate sheets as necessary.

1. Applicant(s) has/will file an application to charter this school or a substantially similar school with other authorizers: ␨ Yes ␨ No

If yes, please list the other authorizer(s):

2. Applicant(s) submitting this form: (Check appropriate statement)

␨ is incorporated in Colorado as a nonprofit

␨ has filed application to become a Colorado nonprofit

␨ state type of entity if other than above:

3. If applicant intends to contract with an Education Management Provider (EMP), the corporate status of the EMP is:

␨ is incorporated in Colorado as a nonprofit

␨ has filed application to become a Colorado nonprofit

␨ state type of entity if other than above:

The name of the EMP is: _____________________________

4. The proposed district charter school will be located within the boundaries of the school district in which this intent to apply form is submitted:  ␨ Yes ␨ No

If no, the proposed district charter school will be located in_______________________.

5. Lead Administrator Information
   1. Name of proposed principal candidate:________________________________
       
   2. Current employment:______________________________________________
       
   3. Phone:__________________________________________________________
       
   4. Email Address:___________________________________________________
       
6. Does the applicant intend to apply for a CSP grant? ␨ Yes ␨ No
    
7. Model or focus of proposed school: (ex. Arts, College Prep, Dual Language, etc.)
    
8. Description of how the proposed school will support the 27J mission and priorities stated in Policy LBD.
    
9. Grade levels to be served:

 

10. Projected enrollment and demographics chart

 

 

11. Name of applicant team or founding entity:
    1. Names, roles, and current employment of all persons on the applicant team:
       Yes No
       If yes, how many, location(s), and name(s) of authorizers: _______________________________________________
    2. Explain the individual and collective qualifications of the applicant team members to establish a high-quality charter school, in particular the capacity to assume responsibility for public funds, administration, governance and student academic achievement.
    3. Include as attachments resumes for each individual on the applicant team.
    4. Explain the circumstances and motivations that brought the applicant team together to propose this charter school.
    5. Which applicant team members will become founding board members?

12. Identify any organizations, agencies, consultants or institutions of higher education that are partners in planning and establishing this charter school, along with a brief description of their current and planned role and any resources they have contributed or plan to contribute to the school’s development.

Adopted: February 28, 2011

Revised: February 14, 2025